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Deprivation in relation to urgent suspicion of head and neck cancer referrals in Glasgow.
Zeitler, M; Fingland, P; Tikka, T; Douglas, C M; Montgomery, J.
Afiliação
  • Zeitler M; Department of Otolaryngology, head and neck surgery, Queen Elizabeth University Hospital, Glasgow, UK.
  • Fingland P; Department of Otolaryngology, head and neck surgery, Queen Elizabeth University Hospital, Glasgow, UK.
  • Tikka T; Department of Otolaryngology, head and neck surgery, Queen Elizabeth University Hospital, Glasgow, UK.
  • Douglas CM; Department of Otolaryngology, head and neck surgery, Queen Elizabeth University Hospital, Glasgow, UK.
  • Montgomery J; Department of Otolaryngology, head and neck surgery, Queen Elizabeth University Hospital, Glasgow, UK.
Clin Otolaryngol ; 43(3): 861-867, 2018 06.
Article em En | MEDLINE | ID: mdl-29380938
AIM: To examine deprivation measured by the Scottish index of multiple deprivation (SIMD) and its relation to urgent suspicion of head and neck cancer referrals. A secondary aim was to examine the symptomatology generating urgent suspicion of cancer (USOC) referrals by SIMD category. METHODS: All "urgent suspicion of cancer" referrals to the GGC ENT department over a one-year period, between 2015 and 2016, were reviewed. Information was recorded anonymously and included demographics and red flag referral symptoms. RESULTS: A total of 1998 patients were assessed, 43.4% (n = 867) were male. A total of 171 (8.6%) patients had primary head and neck cancer. A total of 61 patients had other types of cancer, giving an all cause cancer rate of 11.6%. About 71.3% of primary patients with head and neck cancer (HNC) were male. The most common SIMD category observed was SIMD1, the most common SIMD category yielding a primary head and neck cancer diagnosis was SIMD1. Neck lump was the commonest symptom amongst all SIMD categories. CONCLUSION: A link between deprivation and USOC referrals has been established. A difference in gender distribution between referrals and HNC was observed, more females are referred but a significantly higher number of patients with HNC are males. Neck lump is a very strong referral indicator for HNC and intermittent hoarseness is not. The findings from this analysis could be used to refine local referral patterns and priority of referral.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Encaminhamento e Consulta / Fatores Socioeconômicos / Disparidades nos Níveis de Saúde / Neoplasias de Cabeça e Pescoço Tipo de estudo: Observational_studies / Risk_factors_studies Limite: Female / Humans / Male / Middle aged País/Região como assunto: Europa Idioma: En Ano de publicação: 2018 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Encaminhamento e Consulta / Fatores Socioeconômicos / Disparidades nos Níveis de Saúde / Neoplasias de Cabeça e Pescoço Tipo de estudo: Observational_studies / Risk_factors_studies Limite: Female / Humans / Male / Middle aged País/Região como assunto: Europa Idioma: En Ano de publicação: 2018 Tipo de documento: Article